How much does home care cost in Royal Oak, MI?

Home care in Royal Oak, Michigan ranges from $27 to $42 per hour depending on the care tier. Companion care runs $27 to $32 per hour, personal care runs $29 to $37 per hour, and specialized dementia care runs $35 to $42 per hour. Live-in care, when the home qualifies, is a flat $400 to $500 per day. Pricing in Royal Oak matches our standard Southeast Michigan rates — there is no city surcharge.

Which care tier is right for my parent in Royal Oak?

If your parent in Royal Oak needs companionship, errands, and meal prep but no hands-on body care, companion care ($27–$32/hr) is the right tier. The first hands-on bath, transfer, or toileting assist moves the plan to personal care ($29–$37/hr). A confirmed dementia diagnosis with behavioral symptoms moves the plan to specialized care ($35–$42/hr).

Do you have a minimum visit length in Royal Oak?

Yes. We have a 4-hour minimum per visit and a 12-hour minimum per week, the same in Royal Oak as everywhere else in Southeast Michigan. Short visits make it impossible to retain quality caregivers and build the trust that home care depends on.

Will Medicare or Medicare Advantage pay for this in Royal Oak?

No. Original Medicare does not pay for non-medical home care in Royal Oak or anywhere else. A small number of Medicare Advantage plans now offer limited supplemental in-home support benefits. Long-term care insurance is the most common third-party payment source for our clients in Royal Oak.

Royal Oak, Oakland County · Cost Guide

What Home Care Actually Costs in Royal Oak, Michigan

In Royal Oak, our agency rates match our Southeast Michigan standard: $27–$32/hr companion care, $29–$37/hr personal care, $35–$42/hr specialized dementia care, and $400–$500/day live-in. There is no Royal Oak surcharge. Many Royal Oak adult children live within 10 miles of their parents, which makes shorter shifts and respite blocks more common than full live-in plans.

Hourly range: $27–$42/hr
Minimum visit: 4 hrs
Caregiver ratio: 1:1

Royal Oak Care-Tier Pricing

Royal Oak's mix of long-time homeowners and adult children nearby drives strong demand for respite blocks, weekend coverage, and after-hospital transitions.

Care tier	Our rate	Weekly	Annualized	Typical use
Companion Care	$27–$32/hr	$324–$1,280	~$17K–$67K	Errands, meal prep, social conversation, transportation. No hands-on body care.
Personal Care	$29–$37/hr	$348–$1,480	~$18K–$77K	Hands-on ADLs: bathing, dressing, toileting, transfers, mobility, medication reminders.
Specialized Care (Dementia)	$35–$42/hr	$420–$1,680	~$22K–$87K	CDCP-supervised care plans, sundowning protocols, behavioral charting.
Live-In Care	$400–$500/day	$2,800–$3,500	~$146K–$182K	Single caregiver, 5–7 day rotations. Requires private bedroom + 5-hr uninterrupted sleep.

Weekly ranges show the floor (12-hr minimum plan) through a 40-hr/week plan. Live-in is a flat daily rate, not hourly. See the live-in eligibility rules for when the flat rate applies.

How we calculated these numbers

Figures reviewed Febuary 2026 using comprehensive local data.

All rates are our 2026 Southeast Michigan agency rates. Same in Royal Oak as in our other service areas — there is no city surcharge.
Weekly ranges use the rate midpoint × hours; annualized figures multiply weekly × 52 (no surge or holiday pricing).
Tier assignment is driven by what the caregiver actually does, not by diagnosis. The first hands-on body-care task moves the plan from companion to personal.
For city-specific examples, see the deep-dive guides linked under each tier — those guides set the canonical pricing this page summarizes.

Care Options in Royal Oak

The right care tier depends on what your loved one needs. Below is what each option costs in Royal Oak and where to read more.

Deep-Dive Cost Guides

Cost of Companion Care Cost of Personal Care Cost of Dementia Care Cost of Live-In Care Cost of 24-Hour Care Understanding Home Care Costs

FAQ

Royal Oak Cost of Care — Common Questions

It depends on the care tier — see the table above. We don't charge a Royal Oak surcharge. Use the cost calculator for your specific situation.

The trigger is hands-on body care: bathing, transfers, toileting. Read companion care vs. personal care for the rules.

Yes — 4-hour minimum per visit, 12-hour minimum per week. Same policy in Royal Oak as the rest of our service area.

No — Original Medicare doesn't cover non-medical home care. See our Medicare Advantage guide for the limited exceptions, or our LTC insurance guide.

Estimate your weekly cost Call 248-419-5010

Service area: Royal Oak home care overview · Oakland County · Metro Detroit